Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis
Purpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea. Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance Service of Korea, which contains the medical in...
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2017-07-01
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doaj-24d9ce0fc4014f77a7fa55d8e3bc77d62020-11-24T22:29:13ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2017-07-0158428128810.4111/icu.2017.58.4.281Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysisJungyo Suh0Khae Hawn Kim1Sang Heon Lee2Hyung Suk Kim3Young Ju Lee4Sang Rim Lee5Chang Wook Jeong6Seoul National University College of MedicineGachon University Gil Medical CenterSeoul National University College of MedicineDongguk University Ilsan Medical CenterSeoul National University College of MedicineSeoul National University College of NursingSeoul National University College of MedicinePurpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea. Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance Service of Korea, which contains the medical insurance data of 1 million people from 2002 to 2013. The prevalence, prescription rate, and complication incidence of urologic disease in geriatric hospitals were compared with similar-sized general hospitals. We analyzed the changes that followed the adoption of the fixed sum medical fee per day for geriatric hospitals, which began in January 2008. Subgroup analysis was conducted in an elderly group and a propensity score matching (PSM) group. Results: During this time, the number of geriatric hospitals exponentially increased over general hospitals (675.5%/y vs. 30.9%/y). The prevalence, prescription rate, and complication incidence of urologic disease was higher in geriatric hospitals than in general hospitals (2.1, 1.8, and 1.4 times higher). In the elderly group, the prevalence of urologic disorders was higher in geriatric hospitals than in general hospitals, but the prescription rate was lower (26.5% vs. 19.9% and 6.8% vs. 10.0%). This tendency also founded in the PSM analysis. After the medical fee system changed, diagnosis and prescription rates decreased in geriatric hospitals but increased in general hospitals. Conclusions: Urologic diseases are more prevalent yet management has some problem in geriatric hospitals. Lack of institutional urologists and changes in the medical payment system should be associated with this problem. Additional study and political support are needed to overcome this issue.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-281.pdfCohort studies; Health services for the aged; Physicians’ practice patterns; Propensity score; Urologic diseases |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jungyo Suh Khae Hawn Kim Sang Heon Lee Hyung Suk Kim Young Ju Lee Sang Rim Lee Chang Wook Jeong |
spellingShingle |
Jungyo Suh Khae Hawn Kim Sang Heon Lee Hyung Suk Kim Young Ju Lee Sang Rim Lee Chang Wook Jeong Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis Investigative and Clinical Urology Cohort studies; Health services for the aged; Physicians’ practice patterns; Propensity score; Urologic diseases |
author_facet |
Jungyo Suh Khae Hawn Kim Sang Heon Lee Hyung Suk Kim Young Ju Lee Sang Rim Lee Chang Wook Jeong |
author_sort |
Jungyo Suh |
title |
Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis |
title_short |
Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis |
title_full |
Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis |
title_fullStr |
Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis |
title_full_unstemmed |
Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis |
title_sort |
prevalence and management status of urologic disease in geriatric hospitals in south korea: a population-based analysis |
publisher |
Korean Urological Association |
series |
Investigative and Clinical Urology |
issn |
2466-0493 2466-054X |
publishDate |
2017-07-01 |
description |
Purpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea.
Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance
Service of Korea, which contains the medical insurance data of 1 million people from 2002 to 2013. The prevalence, prescription
rate, and complication incidence of urologic disease in geriatric hospitals were compared with similar-sized general hospitals. We
analyzed the changes that followed the adoption of the fixed sum medical fee per day for geriatric hospitals, which began in January
2008. Subgroup analysis was conducted in an elderly group and a propensity score matching (PSM) group.
Results: During this time, the number of geriatric hospitals exponentially increased over general hospitals (675.5%/y vs. 30.9%/y).
The prevalence, prescription rate, and complication incidence of urologic disease was higher in geriatric hospitals than in general
hospitals (2.1, 1.8, and 1.4 times higher). In the elderly group, the prevalence of urologic disorders was higher in geriatric hospitals
than in general hospitals, but the prescription rate was lower (26.5% vs. 19.9% and 6.8% vs. 10.0%). This tendency also founded in
the PSM analysis. After the medical fee system changed, diagnosis and prescription rates decreased in geriatric hospitals but increased
in general hospitals.
Conclusions: Urologic diseases are more prevalent yet management has some problem in geriatric hospitals. Lack of institutional
urologists and changes in the medical payment system should be associated with this problem. Additional study and political support
are needed to overcome this issue. |
topic |
Cohort studies; Health services for the aged; Physicians’ practice patterns; Propensity score; Urologic diseases |
url |
https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-281.pdf |
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